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IIESNew York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemNYS DMVIIESEDI DATA ELEMENTQUICK REFERENCE GUIDESeptember 14, 1999
IIESNew York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemSegment Identifier ISAElementsReference 01N202Segment NameDetailData Element ,1MMMMMMMMIDANANDTTMN0IDANIDANBeginning Segment for InvoiceMandatoryPAGEAttribute Data TypeMMSegment NameDetailData Element NameDTANSender's NameMandatoryPAGEAttribute Data TypeSegment NameDetailData Element NameA-7, 9A-10Length6,61,1A-11, A-12LengthMID2,2MMMANIDAN1,352,25,20Sender's Additional Name InformationOptionalPAGEA-13Attribute Data TypeLengthSender's NameSender's NameEDI Quick Reference Guide 0914992,2MMEntity IdentifierCodeSender's NameIdentification Code QualifierIdentification CodeSegment Identifier N2ElementsReference NumberIDTransaction Set HeaderMandatoryPAGEAttribute Data TypeDateInvoice NumberSegment Identifier N1ElementsReference NumberN101Segment NameDetailData Element NameA-5, A-6LengthMFunctional Group HeaderMandatoryPAGEAttribute Data TypeTransaction Set Identifier CodeTransaction Set Control NumberSegment Identifier BIGElementsReference NumberBIG01BIG02Segment NameDetailData Element NameFunctional Identifier CodeApplication Sender's CodeApplication Receiver's CodeDateTimeGroup Control NumberResponsible Agency CodeVersion/Release/Industry Identifier CodeSegment Identifier STElementsReference NumberST01ST02Interchange Control HeaderMandatoryPAGEAttribute Data TypeAuthorization InformationQualifierAuthorization InformationSecurity Information QualifierSecurity InformationInterchange Sender ID QualifierInterchange Sender IDInterchange Receiver ID QualifierInterchange Receiver IDInterchange DateInterchange TimeInterchange Control Standards IdentifierInterchange Control Version NumberInterchange Control NumberAcknowledgment RequestedTest IndicatorComponent Element SeparatorSegment Identifier GSElementsReference NumberGS01GS02GS03GS04GS05GS06GS07GS08Segment NameDetailData Element NameMO1ANAN1,351,35
IIESNew York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemSegment Identifier PERElementsReference 103NM104NM108NM109Segment IdentifierElementsReference 0Error Segment-Insurer LevelPAGEConditionalAttribute Data TypeMMIDANInsurer NameMandatoryPAGEAttribute Data TypeSegment NameDetailData Element 5Insurer Additional Name InformationMandatoryPAGEA-21Attribute Data TypeLengthInsurer Name ContinuedInsurer Name ContinuedMOSegment NameANAN1,351,35Insurer Administrative Communications ContactDetailData Element NameMandatoryAttributeContact Function CodeNameTelephone Number QualifierTelephone NumberEDI Quick Reference Guide 091499MCMMSegment NameDetailData Element NamePER2,2Section Separator-Insurer LevelConditionalPAGEAttribute Data TypeSegment NameDetailData Element NameA-15, A-16LengthIDMMMSegment NameDetailData Element Name2,21,352,210,80MHierarchical Level-Insurer LevelMandatoryPAGEAttribute Data TypeEntity IdentifierCodeEntity Type QualifierInsurer NameInsurer Name-ContinuedIdentification Code QualifierIdentification CodeSegment Identifier N2ElementsReference NumberN201N202Segment NameDetailData Element NameReference Number QualifierReference NumberSegment Identifier NM1ElementsReference NumberIDANIDANReceiver's NameMandatoryPAGEAttribute Data TypeAssigned NumberSegment Identifier REFElementsReference NumberREF01REF02Segment NameDetailData Element NameHierarchical ID NumberHierarchical Level CodeHierarchical Child CodeSegment Identifier LXElementsReference NumberLX01MMMMEntity IdentifierCodeReceiver's NameIdentification Code QualifierIdentification CodeSegment Identifier HLElementsReference NumberHL01HL03HL04Sender's Administrative Communications ContactMandatoryPAGEA-14Attribute Data TypeLengthContact Function Code (Administrator)NameTelephone Number QualifierTelephone NumberSegment Identifier N1ElementsReference NumberN101Segment NameDetailData Element NameMMMM2PAGEData TypeA-22LengthIDANIDAN2,21,352,210,80
IIESNew York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemSegment Identifier IT1ElementsReference NM103NM104NM105NM106NM107MMMMSegment NameDetailData Element NameANANIDIDState NameMandatoryPAGEAttribute Data TypeSegment NameDetailData Element ,62,214,14MMMANANIDIDN0IDANInsured NameMandatoryPAGEAttribute Data Type33,36,62,2MMMMError Segment - Policy LevelConditionalPAGEAttribute Data TypeEntity IdentifierCodeEntity Type QualifierLast Name or Organization NameFirst Name or Organization Name ContinuedMiddle NameName PrefixName SuffixA-24Length2,2Section Separator - Policy LevelConditionalPAGEAttribute Data TypeSegment NameDetailData Element Name1,12,21,1IDMMMMSegment NameDetailData Element NameA-23LengthMHierarchical Level - Policy LevelMandatoryPAGEAttribute Data TypeSegment NameDetailData Element NameEDI Quick Reference Guide 091499IDDTN0Hierarchical Level-State LevelMandatoryPAGEAttribute Data TypeReference Number QualifierReference NumberSegment Identifier NM1ElementsReference NumberNM101Segment NameDetailData Element NameAssigned NumberSegment Identifier REFElementsReference NumberREF01REF02MMMHierarchical ID NumberHierarchical Parent ID NumberHierarchical Level LoopHierarchical Child CodeSegment Identifier LXElementsReference NumberRIDRReporting DateMandatoryPAGEAttribute Data TypeEntity IdentifierCodeEntity Type QualifierState NameIdentification Code QualifierIdentification CodeSegment Identifier HLElementsReference NumberHL01HL02HL03HL04Segment NameDetailData Element NameHierarchical ID NumberHierarchical Parent ID NumberHierarchical Level CodeHierarchical Child CodeSegment Identifier NM1ElementsReference NumberNM101MMMDate/Time QualifierDateCenturySegment Identifier HLElementsReference NumberHL01HL02HL03HL04Baseline Item Data (Insurer)MandatoryPAGEAttribute Data TypeQuantity InvoicedUnit or Basis for Measurement CodeUnit PriceSegment Identifier DTMElementsReference NumberDTM01DTM02DTM05Segment NameDetailData Element h2,21,30A-30, ,101,10
IIESNM108NM109New York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemIdentification Code QualifierIdentification CodeSegment Identifier N2ElementsReference NumberN201N401N402N403MMCSegment NameDetailData Element NameMMMSegment NameDetailData Element NameANIDIDRIDRTransaction PurposeMandatoryPAGEAttribute Data TypeMMMSegment NameDetailData Element NameIDIDANAdditional Transaction PurposeOptionalPAGEAttribute Data TypeMMMSegment NameDetailData Element NameIDIDANPolicy NumberConditionalPAGEAttribute Data TypeMMMSegment NameDetailData Element NameIDANANDocument Identification CodeOptionalPAGEAttribute Data TypeMMSegment NameDetailData Element NameIDANIssuer License NumberConditionalPAGEAttribute Data TypeMMSegment NameDetailData Element NameEDI Quick Reference Guide 091499ANANBaseline Item Data (Policy)MandatoryPAGEAttribute Data TypeReference Number QualifierReference NumberSegment Identifier DTMElementsReference NumberANInsured Geographic LocationMandatoryPAGEAttribute Data TypeReference Number QualifierDescriptionSegment Identifier REFElementsReference NumberREF01REF02Segment NameDetailData Element NameReference Number QualifierReference NumberDescriptionSegment Identifier REFElementsReference NumberREF01REF03MOAgency Qualifier CodeService Characteristics QualifierProduct/Service IDSegment Identifier REFElementsReference NumberREF01REF02REF03MAgency Qualifier CodeService Characteristics QualifierProduct/Service IDSegment Identifier SIElementsReference NumberS101S102S103Insured Address InformationMandatoryPAGEAttribute Data TypeQuantity InvoicedUnit or Basis for Measurement CodeUnit PriceSegment Identifier SIElementsReference NumberS101S102S103Segment NameDetailData Element NameCity NameState CodeZIP CodeSegment Identifier IT1ElementsReference NumberIT102IT103IT104Insured NameMandatoryPAGEAttribute Data TypeAddress Line 1Address Line 2Segment Identifier N4ElementsReference NumberIDN0Segment NameDetailData Element NameGenderSegment Identifier N3ElementsReference NumberN301N302CMIDANInsured Date BirthConditionalPAGEAttribute Data 2,21,80A-40Length2,21,30A-41Length
IIESDTM01DTM02DTM05New York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemDate/Time QualifierDateCenturySegment Identifier DTMElementsReference 4NM105NM106NM107NM108NM109Segment NameDetailData Element NameIDDTN0Termination Effective DateConditionalPAGEAttribute Data TypeMMMSegment NameDetailData Element NameIDDTN03,36,62,2A-42, A-43Length3,36,62,2A-44Length3,36,62,2Baseline Item Data (Additional Insured)OptionalPAGEA-45Attribute Data TypeLengthOMMMSegment NameDetailData Element NameANRIDR1,11,12,21,1Additional Insured's Date of BirthConditionalPAGEA-46Attribute Data TypeLengthDate/Time QualifierDateCenturySegment Identifier NM1ElementsReference NumberNM101MMMAssigned IdentificationQuantity InvoicedUnit or Basis for Measurement CodeUnit PriceSegment Identifier DTMElementsReference NumberIDDTN0Effective DateConditionalPAGEAttribute Data TypeDate/Time QualifierDateCenturySegment Identifier IT1ElementsReference NumberIT101IT102IT103IT104Segment NameDetailData Element NameDate/Time QualifierDateCenturySegment Identifier DTMElementsReference NumberDTM01DTM02DTM05MMMMMMSegment NameDetailData Element NameIDDTN0Additional Insured NameOptionalPAGEAttribute Data TypeEntity IdentifierCodeEntity Type QualifierLast Name or Organization NameFirst Name or Organization Name ContinuedMiddle NameName PrefixName SuffixIdentification Code QualifierIdentification Code3,36,62,2A-47, 51,251,101,101,29,20Segment Identifier N2ElementsReference NumberSegment NameDetailData Element NameAdditional Insured GenderConditionalPAGEAttribute Data TypeN201GenderSegment Identifier HLElementsReference NumberSegment NameDetailData Element NameMAN1,1Hierarchical Level - Vehicle LevelMandatoryPAGEA-50Attribute Data TypeLengthHL01HL02HL03Hierarchical ID NumberHierarchical Parent ID NumberHierarchical Level CodeSegment Identifier LXElementsReference NumberLX01MMMSegment NameDetailData Element NameSection SeparatorMandatoryPAGEAttribute Data TypeAssigned NumberEDI Quick Reference Guide 091499ANANIDM5N0A-49Length1,121,121,2A-51Length1,1
IIESNew York State Dept. of Motor VehiclesInsurance Information & Enforcement SystemSegment Identifier VEHElementsReference 2Vehicle InformationMandatoryPAGEAttribute Data TypeVehicle CountVehicle Identification NumberCentury of the VehicleYear of the VehicleAgency Qualifier CodeMake of the VehicleModel of the VehicleNYS DMV Tracking NumberInsurer Tracking NumberSegment Identifier REFElementsReference NumberREF01REF02Segment NameDetailData Element NameMMMMMMOOOSegment NameDetailData Element NameMMSegment NameDetailData Element NameTDS01CTT01Segment IdentifierIEA01IEA02MSegment NameMMSegment NameDetailData Element NameN0ANFunctional Group TrailerMandatoryPAGEAttribute Data TypeNumber of Transaction Sets IncludedGroup Control NumberMMSegment NameDetailData Element NameN0N0Interchange Control TrailerMandatoryPAGEAttribute Data TypeNumber of Included Functional GroupsInterchange Control NumberEDI Quick Reference Guide 091499N0Transactions SetTotalsMandatoryPAGEAttribute Data TypeNumber of Included SegmentsTransaction Set Control NumberSegment Identifier IEAElementsReference NumberN2Transactions TotalsMandatoryPAGEAttribute Data TypeDetailData Element NameSegment Identifier GEElementsReference NumberGE01GE02MSegment NameDetailData Element NameNumber of Line ItemsElementsReference NumberSE01SE02MIDMANTotal Monetary Value SummaryMandatoryPAGEAttribute Data TypeAmountSEIDAN2,21,30Vehicle's NYS License Plate NumberOptionalPAGEA-54Attribute Data TypeLengthREF01Reference Number QualifierREF02NYS License Plate NumberSegment Identifier TDSSegment NameElementsDetailReference NumberData Element NameSegment Identifier CTTElementsReference Number1,61,252,22,22,24,51,121,101,10Disposition Segment - Vehicle LevelConditionalPAGEA-53Attribute Data TypeLengthReference Number QualifierReference NumberSegment Identifier REFElementsReference 1,61,9A-59Length1,59,9
EDI DATA ELEMENT QUICK REFERENCE GUIDE September 14, 1999. I I E S New York State Dept. of Motor Vehicles Insurance Information & Enforcement System Segment Identifier ISA Segment Name Interchange Control Header Elements . Detail Mandatory . PAGE A-5, A-6 . Re
